Course Release and Lecture Capture Consent Form
To Whom It May Concern:
I (the undersigned) understand and agree that comprehensive course materials including text, graphic designs, images, video and audio files will be collected and preserved and that I was made aware of this fact by the course instructor at the beginning of the term. I hereby grant to Saint Louis University (the “University”) a non-exclusive license and right to use excerpts or portions of my audio or videotaped graded coursework (e.g., student presentation, small group discussion or comments in a seminar format) in which I am portrayed for educational or related purposes. I further understand that I will receive no money or remuneration of any kind from the University related to this consent and release, or the materials covered by this consent or release. I acknowledge that I do not have the right to inspect or approve any materials developed by the university as authorized below.
This release and consent includes the right to:
- Make and copyright text, photographs, audio and/or video recordings of my image and voice as part of the University’s lecture capture program.
- Use, produce, modify, distribute, and disseminate such materials and projects in any form, manner, or mode of electronic transmission for educational or related purposes.
I hereby certify and represent that I am over 18 years of age and have read the foregoing and fully understand the meaning and effect thereof. In the case of a child under the age of 18, I state that I am the parent, guardian, or otherwise legally authorized adult capable of giving consent on behalf of the minor child.
(Student’s signature and date)
(Student’s Printed Name) (Student’s University ID #)